section, you should refer to Manual of NavalPreventive Medicine, NAVMED P-5010.FOOD-SERVICE SANITATIONFood-borne illnesses represent an ever-presentthreat to the health and morale of our militarypersonnel. To prevent food-borne illnesses, you willneed to ensure that all foods are procured fromapproved sources and processed, prepared, and servedwith careful adherence to recommended sanitarypractices. When assigned as a medical departmentrepresentative for a command or station, you may begiven the responsibility of inspecting food,food-service facilities, and investigating food-borneillness outbreaks.For guidance on safe time limits for keeping food,proper storage temperatures, and storage life ofperishable and semi-perishable items, refer to tables inNaval Supply Publication 486.Training and Hygiene of Food-ServicePersonnelFood-service personnel should be thoroughlyindoctrinated in personal hygiene and food sanitationprocedures and in the methods and importance ofpreventing food-borne illness. Requirements for foodservice training are addressed in Food ServiceTraining Program, SECNAVINST 4061.1.Food-Service Inspection ReportNavy and Marine Corps food-service facilities arerequired to be inspected by a medical departmentrepresentative, together with the food-service manageror officer or designated representative. The findings ofthe inspection are reported on a NAVMED Form6240/1, Food Service Sanitation Inspection. A systemhas been established in which maximum defect pointsare awarded for each stated requirement. Theinspector assigns an appropriate number of defectpoints up to the maximum possible and computes asanitary compliance score (SCS). Completestep-by-step procedures for filing the report andcomputing the SCS are provided in the Manual ofNaval Preventive Medicine, NAVMED P-5010.IMMUNIZATIONS AND COMMUNICABLEDISEASESNavy and Marine Corps personnel are exposed to awide variety of environmental conditions, includingclimatic extremes, stressful situations, and close livingquarters. Many of these personnel travel to foreignlands where conditions may not only be unsanitary, butwhere a high level of disease may also exist.Preventive medicines major role is to minimizedisability by emphasizing immunization programs.ImmunizationsVaccines used to protect Navy and Marine Corpspersonnel against certain diseases before exposure toinfection are called prophylactic immunizations.Prophylactic immunizations are limited to very seriousdiseases for which effective and reliable immunizingagents have been developed.Immunizations procured for the Armed Forces arerequired to meet the minimum standards set by theDepartment of Health and Human Services (DHHS).Immunizations for Military PersonnelNavy and Marine Corps personnel are required tobe ready to deploy on a moments notice. To make surepersonnel are prepared for deployment, you shouldreview their immunization records on a routine basis,and, before deployments, also review BUMEDINST6230.15, Immunizations and Chemoprophylaxis.Initial and booster dosages and routes of administra-tion are dictated by the vaccine manufacture, the U.S.Public Health Service Immunization PracticesAdvisory Committee (ACIP), or both.Communicable DiseasesCommunicable diseases, as the name implies, arediseases that may be transmitted from a carrier to asusceptible host. They may be transmitted from aninfected person or animal or indirectly through anintermediate host, vector, or inanimate object. Theillness produced is the result of infectious agentsinvading and multiplying in the host, or from therelease of their toxins (poisons).An important step in the control of communicabledisease is the expedious preparation and submission ofthe Medical Event Report. Instructions andrequirements for reporting to local, state, national, andinternational health authorities can be found in thepreface of the Control of Communicable DiseasesManual, NAVMED P-5038. In addition, you shouldfollow instructions for the Medical Event Report(MER), BUMEDINST 6220.12, when reporting10-4